Individual
AMANDA KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 BROWN RD, MARTINSBURG, WV 25404-7282
(304) 995-5069
Mailing address
715 BROWN RD, MARTINSBURG, WV 25404-7282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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